Relationshipstore LLC
NPI 1730684291ActiveOrganization· Counselor, Mental Health· Burr Ridge, IL
Counselor, Mental Health in Burr Ridge, Illinois, registered in NPPES in March 2018. The authorized official on file is Tim A. O'Donohue, LCPC, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730684291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2018 |
| Last updated in NPPES | Feb 5, 2026 |
| Certified by provider | Feb 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 180002304 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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